Organization
HOPEBRIDGE, LLC
Active
Parent organization
HOPEBRIDGE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOPEBRIDGE, LLC
Authorized official
DENNIS MAY (CEO)
(317) 794-3211
Entity
Organization
Contact information
Practice address
5215 COMMERCE CROSSINGS DR, LOUISVILLE, KY 40229-2183
(855) 324-0885
(765) 450-6664
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(317) 376-8336
(317) 449-4835
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
7100401290
KY
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TH0100X
Health Service Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100468860
—
KY
Enumeration date
06/13/2017
Last updated
05/09/2018
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